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General NPI Number Information
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NPI Number | 1770553489
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Entity Type | Individual
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Provider Name | BRIAN DAVID EYER CCC/SLP
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 1130 S 166TH AVE
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City | GOODYEAR
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State | AZ
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Zip | 85338-6008
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Country | US
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Telephone | 623-760-5908
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Fax | 623-466-0760
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Provider Business Mailing Address
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Address Line | 18905 N 44TH ST
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City | PHOENIX
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State | AZ
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Zip | 85050-3396
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Country | US
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Telephone | 623-760-5908
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Fax | 623-466-0760
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP4861
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License Number State | AZ
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